Premise Health of Illinois Medical, PC
NPI #1770999872 in Rockford, Illinois
Provider Information
- NPI Number
- 1770999872
- Entity Type
- Organization
- Organization Name
- Premise Health of Illinois Medical, PC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 9, 2014
- Last Updated
- Aug 21, 2023
Practice Location
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (615) 468-6270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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